%0期刊文章%@ 1438- 8871% I Gunther Eysenbach %V 3% N 1% P e8% T互联网患者记录:新技术%A Brelstaff,Gavin %A Moehrs,Sascha %A Anedda,Paolo %A Tuveri,Massimiliano %A Zanetti,Gianluigi %+ CRS4, VI Strada Ovest, Z.I, 09010 Uta(卡利亚里，意大利)，意大利，+39 070 2796 312,gjb@crs4.it %K电子病历%K医疗信息系统%K Internet %K Java %K JavaScript %K XML %K XSL %K快速原型%K提取方法%D 2001 %7 17.3.2001 %9原始论文%J J医学Internet Res %G英文%X背景:Internet能够轻松地将信息分发给地理位置遥远的各种计算机上的用户，这使它成为电子患者记录系统技术解决方案的明显候选者。实际上，第二代Internet技术，如本文中描述的技术——XML(可扩展标记语言)、XSL(可扩展样式语言)、DOM(文档对象模型)、CSS(级联样式表)、JavaScript和JavaBeans——可以显著降低分布式医疗保健系统开发的复杂性。目的:演示一个实验性的电子病历(EPR)系统，该系统由这些技术构建，可以支持医学影像检查和图形丰富的临床报告工具的查看，同时符合新兴的数字文档XML标准。特别是，我们的目标是促进临床专家快速生成新报告的原型。方法:我们已经构建了一个原型EPR客户端InfoDOM，它可以在两种流行的web浏览器中运行。在第二个版本中，它通过安全SSL(安全套接字层)协议接收每个EPR作为XML记录。JavaBean软件组件操作XML以存储它，然后将其转换为各种有用的临床视图。首先为病人制作一个网页摘要。 From that web page other JavaBeans can be launched. In particular, we have developed a medical imaging exam Viewer and a clinical Reporter bean parameterized appropriately for the particular patient and exam in question. Both present particular views of the XML data. The Viewer reads image sequences from a patient-specified network URL on a PACS (Picture Archiving and Communications System) server and presents them in a user-controllable animated sequence, while the Reporter provides a configurable anatomical map of the site of the pathology, from which individual "reportlets" can be launched. The specification of these reportlets is achieved using standard HTML forms and thus may conceivably be authored by clinical specialists. A generic JavaScript library has been written that allows the seamless incorporation of such contributions into the InfoDOM client. In conjunction with another JavaBean, that library renders graphically-enhanced reporting tools that read and write content to and from the XML data-structure, ready for resubmission to the EPR server. Results: We demonstrate the InfoDOM experimental EPR system that is currently being adapted for test-bed use in three hospitals in Cagliari, Italy. For this we are working with specialists in neurology, radiology, and epilepsy. Conclusions: Early indications are that the rapid prototyping of reports afforded by our EPR system can assist communication between clinical specialists and our system developers. We are now experimenting with new technologies that may provide services to the kind of XML EPR client described here. %M 11720950 %R 10.2196/jmir.3.1.e8 %U //www.mybigtv.com/2001/1/e8/ %U https://doi.org/10.2196/jmir.3.1.e8 %U http://www.ncbi.nlm.nih.gov/pubmed/11720950